[Clinical features of hypoperfusion retinopathy induced neovascular glaucoma].
OBJECTIVE
To analyze the clinical features of hypoperfusion retinopathy induced neovascular glaucoma


METHODS
This retrospective case series included 18 cases (18 eyes) with hypoperfusion retinopathy induced neovascular glaucoma Among them, there were 15 male and 3 female; 10 right eye and 5 left eye. The average age was 40-year-old (ranged from 18- to 78-year-old). Visual acuity and fundus were examined using fundus fluorescein angiography (FFA), Color Doppler Flow Imaging (CDFI), magnetic resonance angiography (MRA), and Digital subtraction angiography (DSA) etc in all patients.


RESULTS
The visual acuity was ranged from light perception to 0. 8 in all patients. The clinical features in hypoperfusion retinopathy induced neovascular glaucoma were characterized by midperipheral intraretinal hemorrhages, narrowed retinal arteries, dilated retinal veins, neovascularisation in iris and anterior chamber angle, ocular hypertension, excavation and atrophy of optic disk, and visual field defects when glaucoma progressed. All eyes have either ipsilateral common carotid artery obstruction or severe bilateral obstruction of the internal carotid arteries.


CONCLUSIONS
Neovascular glaucoma is a rare and severe complication of hypoperfusion retinopathy associated with either ipsilateral common carotid artery obstruction or severe bilateral obstruction of the internal carotid arteries. Fundus degeneration is commonly involved in one eye. The characteristic clinical features are presented during the process of the disease.
Zhou
Bi-ye
BY
Department of Ophthalmology, General Hospital of PLA, Beijing 100853, China.
Zhang
Mao-nian
MN
Zhao
Na
N
Wei
Shi-hui
SH
D000293:Adolescent; D000328:Adult; D000368:Aged; D002340:Carotid Artery Diseases / Q000150:complications*; D002908:Chronic Disease; D005123:Eye / Q000098:blood supply; D005260:Female; D015355:Glaucoma, Neovascular / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000150:complications*; D012189:Retrospective Studies; D055815:Young Adult